Ricinus Communis - General symptoms

GENERAL

General

Epigastrium very sensitive, and the pains radiate towards the navel and hypochondria.

neither light nor strong pressure aggravates the pain, at the same time the patient feels a sensation of violent constriction in the intestines (after a few hours).

epigastric and abdominal pains continue (second day).

abdominal pains (fourth day),.

A few diarrhoeic stools.

in three or four hours after taking the seeds the alvine dejections became more frequent and more copious, they escaped without griping or colic, in the form of a serous fluid, containing slimy matter.

after about ten hours the diarrhoea became almost incessant, and was colliquative, the evacuations presenting the same appearance as in cholera,.

Three or four hours afterwards he passed several loose stools.

the stools became more numerous and copious, were passed without tenesmus or colic, formed of serous liquid mixed with mucus.

about 4 P.M., the diarrhoea became incessant, with cramps and chilliness.

at 5.30, the diarrhoea becomes colliquative, and the stools look as in cholera. Diarrhoea continued (second and third days).

moderate diarrhoea without tenesmus or colic (fourth day).

some diarrhoea (fifth day).

only two stools (sixth day),.

Diminished mammary secretion

Ricinus communis. Palma Christi. N. O. Euphorbiaceae. Tincture (made with hot alcohol and water) or trituration of fresh seeds. Tincture of fresh plant.

The Castor Equi ^castor-oil plant is a native of India.

In the tropics it is a small tree growing to the height of eight or ten feet.

Under the name of Palma Christi it is cultivated as an annual in this country, its stems reaching from three to five feet.

The oil of medicine is obtained from the seeds.

The blandest which is in common use is "cold drawn," i.e., expressed without the aid of heat, and contains the smallest amount of the acrid principle.

A decoction of the seeds, which is used in the East and West Indies, contains a much larger proportion.

The homoeopathic preparation should be made in such a way as to secure the full properties.

The leaves have an especially powerful action on the breasts and female generative organs.

Hale made the first collection of the pathogenetic effects of Ric., and pointed out its analogy to cholera, which Salzer (On Cholera) confirmed.

Cases of poisoning, some of them fatal, have been recorded from the ordinary oil, but the greater number of the pathogenetic effects have resulted from eating the seeds.

The most detailed case is that of a sergeant who ate seventeen seeds (two years old) as a purgative.

Four hours later he had several loose stools, pyrosis, cramps in the stomach, nausea and vomiting, the vomit containing fragments of seeds and drops of oil.

The stools became more-numerous and more copious of serous liquid mixed with mucus, and were passed without tenesmus or colic.

Later the diarrhoea was accompanied with cramps and chilliness.

Other symptoms were Pale face; forehead covered with cold sweat, features drawn, eyes convulsed and turned up, conjunctiva injected, copious lachrymation.

Intelligence quite clear.

Headache, vertigo, buzzing in ears, and sensation as if a bar were laid over his stomach, with profound anguish.

Burning thirst; pyrosis, vomiting fluid lightly coloured with bile, and containing some glairy filaments.

Epigastrium very sensitive, pains radiate therefrom to navel and hypochondria, not agg. or amel. by light or strong pressure.

At the same time he felt a sensation of violent constriction in intestines.

Diarrhoea became colliquative, stools like cholera-stools.

Complete anuria. Voice veiled.

Profound adynamia. Next day severe fever followed.

A small quantity of dark, thick urine was passed, and was found to be highly albuminous.

On the fourth day pronounced jaundice appeared.

On the sixth day the urine had ceased to be albuminous, and the patient was discharged.

Salzer gives to Ric. the same importance in cholera with diarrhoea that Camphora ^Camph. occupies in relation to spasmodic cholera.

The stools of Ric. correspond exactly to the rice-water stools in cholera, whilst those of Ver. a. do not.

Ric. also has painless evacuations which are met with in many cases of cholera.

Ric. therefore corresponds to the diarrhoeic stage of cholera, and also to the collapse stage if vomiting and purging still continue.

Salzer quotes B. L. Bhaduri as having observed "rice-water stools, cramps, and suppression of urine brought on by eating the seeds." Hale says that before he had learned to use Ric. as a homoeopathic remedy he had often been discomfited by seeing aphthous diarrhoea cured with small (half-teaspoonful) doses of Castor Equi ^castor oil, repeated three or four times a day, by old nurses or impatient mothers.

Such-diarrhoea often arises in improperly-fed children.

It begins with sickness, frequent and griping evacuations, greenish yellow to dark green, becoming more liquid and more or less mixed with slimy or gelatinous mucus or blood.

Each stool is accompanied with pain and tenesmus, mouth dry and aphthous, anus inflamed, belly tumid and painful, child becoming more and more feverish and somnolent.

Hale later gave a 1x trituration of the oil with sugar.

In acute and chronic dysentery, and in those cases in which there is impaction of faeces, Hale has seen the oil promptly curative.

Post-mortem examination in the fatal poisoning cases has shown the gastro-intestinal mucous membrane abraded and inflamed.

In one case the whole intestinal membrane was coated with blackish blood and that of the stomach reddened and softened.

Hering remarked that puerperal fever had become much less common in Philadelphia (where it used to be very common) since homoeopaths interdicted the use of Castor Equi ^castor oil in confinements.

Ric. has great power over lactation.

O. McWilliams (quoted by Hale) observed in the Cape Verde Islands that the leaves of the plant were applied to the breasts to increase the flow of milk if it were delayed, and even to produce it in women who had never borne children or who had not suckled for years.

In increasing the flow of milk in nursing women the breasts were fomented with a decoction of the leaves of the plant, the boiled leaves being afterwards thinly spread on the breasts.

For producing milk in others more vigorous measures were resorted to.

The women had to sit over a boiling decoction of the leaves, care being taken to prevent the escape of steam.

When the decoction was sufficiently coot the parts were bathed with it, and also the breasts, to which the leaves were applied as in the other case.

Women with well-developed breasts are more easily influenced.

When the breasts are small and shrivelled this treatment acts more on the uterine system, bringing on the menses long before their time or causing immediate flow if the time is near.

Tyler Smith experimented with the leaves.

In his cases the application produced Swelling of the breasts, throbbing and other pains in them; swelling of the axillary glands, with pains running down the arms.

Pains in the back like after-pains were caused in every case.

Leucorrhoea was increased.

Soon discharges from the breasts became milky, and menses came on too soon.

The radiating pains; bar sensation; constricting and cramping pains are the most peculiar.

Clinical

Albuminuria. Aphthae. Cholera. Cholera infantum. Diarrhoea. Duodenum, catarrh of. Dysentery. Eruptions. Gangrene. Gastro-enteritis. Jaundice. Lactation. Peritonitis.